Contact

To request a session with Devi Bliss, please complete and submit the form below or contact me at 863-254-8046. It is vital to approach this work with a reverence and intention as it is indeed a sacred interaction.
So, ask yourself: Why are you coming to me? What do you hope to learn and experience?
My heartfelt mission is to liberate you from personal stress and suffering and initiate you into the divine realm of tantric bliss.
NamasteDakini Devi BlissThis form and all information are held in the strictest confidence. No information on this form will ever be shared with anyone for any reason.

Client Information

Full NameLast Name

Date of Birth(Please note that I only accept clients over the age of 25.)

Note: The 90-minute Introductory Session ($300) is highly recommended for new clients.

Have you visited any tantric practitioners before?If so, who are they?

Are you currently involved in any intimate relationship(s)?YesNo

How is it working out?

Are you willing to accept full responsibility for your health, well being, and personal pleasure?YesNo

What previous experience have you had with Tantra, Yoga and/or Meditation?

Do you currently have any contagious illnesses; i.e., HIV, STDs or chronic skin disorders?If so, what are they and what treatment have you received for them?

Do you have any current physical concerns and/or medical issues?If so, what are they?

What prescription medications, if any, are you currently taking?

Do you have any diagnosed mental health issues?If so, are you receiving treatment for your condition?

What are your three main reasons for seeking a tantric session with me?Please list them in order of priority.

What would you like to specifically address in the areas of relationship intimacy and sexual healing?

Are you a childhood sexual abuse survivor, rape victim or PTSD sufferer?If so, have you ever received professional therapy for your condition?

This form and all information are kept in strict confidence. No information will ever be shared from this form. All fields are required.

Note: Your privacy is my chief priority. I will always respect it and I expect that you respect mine in return by adhering to my NO review policy. I approach each session with integrity and discretion and have always been blessed to meet those who value these same qualities.